Manoutcher Khalili M.D. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19544495 Issued in CA

Legal business name

MANOUTCHER KHALILI M.D. INC.

Doing business as

century medical center

Practice address

18318 Sherman Way
Reseda, CA 91335-4424

Phone

(818) 757-7246

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manoutcher KhaliliNPI 1861446841

Title

President

Phone

(818) 757-7246

Specialties & licenses 1

Addresses

Other names 1

• century medical center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manoutcher Khalili, MD

  • Family Medicine Physician
  • Gardena, CA
  • NPI 1861446841
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588739627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354424",
            "telephone_number": "818-757-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354424",
            "telephone_number": "818-757-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOUTCHER KHALILI M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "MANOUTCHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-757-7246"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19544495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "century medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.